Mhlawumbe udokotela wakho ukutshelile ukuthi uqale umuthi wokugomela obizwa ngokuthi iGanciclovir. Noma mhlawumbe othile emndenini wakho uphathwa ngale ndlela yokwelashwa. Kuvamile ukuzizwa wesaba kancane, unelukuluku, futhi udidekile uma uzwa leli gama. Ngakho-ke namuhla, ake sixoxe ngokuthi lo muthi obizwa ngokuthi iGanciclovir uyini, ukuthi unikezwa ziphi izimo, nokuthi yini okudingeka siyiqaphele kakhulu lapho siwuthatha, ngendlela elula ongayiqonda.
Iyini iGanciclovir?
Kalula nje, i-Ganciclovir iwumuthi wokulwa namagciwane . Lokhu kusho ukuthi lo muthi ungacindezela izinhlobo ezithile zamagciwane emizimbeni yethu futhi ulawule ukusabalala kwawo.
Isetshenziswa ngqo ukwelapha noma ukuvimbela izifo ezibangelwa yi -cytomegalovirus , noma i-CMV ngamafuphi. Nakuba i-CMV ngokuvamile ingabangeli izinkinga ezinkulu kubantu abaphilile, ingaba yingozi kubantu abanamasosha omzimba abuthakathaka (njengalabo abaye bafakelwa izitho zomzimba noma abathola ukwelashwa komdlavuza). Lo muthi usetshenziselwa ukwelapha izifo ze-CMV esweni noma kwezinye izingxenye zomzimba.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Ngaphambi kokuba uqale ukwelashwa nge-Ganciclovir, kubaluleke kakhulu ukukhuluma nodokotela wakho ngesimo sakho sempilo. Qiniseka ukuthi utshela udokotela wakho uma unakho okulandelayo:
- Isifo sezinso: Uma unesifo esihlobene nezinso.
- Izinkinga zegazi: Uma uke watholakala ukuthi unamaseli amhlophe egazi aphansi, amaseli abomvu egazi, noma ama-platelet egazini lakho.
- Ukungezwani komzimba: Tshela udokotela wakho uma une-allergy ku-Ganciclovir noma eminye imithi yokulwa namagciwane njenge-Acyclovir. Futhi, tshela udokotela wakho uma une-allergy kweminye imithi, ukudla, noma izithasiselo.
- Ukukhulelwa: Uma ukhulelwe, uzama ukukhulelwa, noma usola ukuthi kungenzeka ukuthi ukhulelwe.
- Uma ungumama oncelisayo: Yazisa nomhlengikazi uma ungumama oncelisayo.
Uyisebenzisa kanjani le mithi?
Leli akulona iphilisi noma i-capsule ongayithatha ekhaya. I-Ganciclovir iwumjovo onikezwa njengesixazululo sikasawoti emthanjeni (ukujova emthanjeni) . Lokhu kwelashwa kunikezwa uchwepheshe wezempilo oqeqeshiwe (udokotela noma umhlengikazi) esibhedlela noma emtholampilo. Ngakho-ke akudingeki ukhathazeke ngalokhu, bazokunakekela kahle.
Ingabe lo muthi kufanele unikezwe izingane?
Uma ingane yakho inikezwe lo muthi, khuluma nodokotela wezingane ngakho, njengoba kungase kudingeke ukunakekelwa okukhethekile lapho kunikezwa lo muthi ezinganeni.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Lokhu kunikezwa esibhedlela, ngakho-ke amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu noma uma uzizwa ungakhululekile, yazisa ngokushesha iNational Poisons Information Centre eColombo National Hospital. Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi unikezwe wena kuphela. Ungawubelani nanoma ubani nganoma yisiphi isizathu.
Izinto okufanele uzicabangele ngesikhathi sokwelashwa
Kunezinto eziningana okufanele uziqaphele lapho uthatha lo muthi.
1. Ungaphuthelwa ukuhlolwa okuhleliwe: Udokotela wakho uzokukuhlola njalo ngenkathi uthatha lo muthi. Uzo-oda izinto ezifana nomsebenzi wegazi . Kubalulekile ukuze uphephe ukwenza lokhu njalo. Uma welashwa ukutheleleka kwamehlo kwe-CMV, kuzodingeka futhi ukuthi amehlo akho ahlolwe njalo emavikini angu-4-6.
2. Phuza amanzi amaningi: Zama ukuphuza okungenani izingilazi zamanzi ezingu-6-8 noma ezinye izinto eziwuketshezi ngosuku. Lokhu kungasiza ekunciphiseni ingozi yokulimala kwezinso kanye neminye imiphumela emibi evela emuthini.
3. Ukunaka okukhethekile ekukhulelweni (kubaluleke kakhulu):
- Kwabesifazane: Gwema ukukhulelwa ngenkathi uthatha lo muthi futhi okungenani izinsuku ezingu-30 ngemva kokuyeka ukwelashwa. Tshela udokotela wakho ngokushesha uma uhlela ukukhulelwa noma ucabanga ukuthi kungenzeka ukuthi ukhulelwe.
- Kwabesilisa: Uma uthatha lo muthi, gwema ukuba nguyise wengane ngesikhathi sokwelashwa futhi okungenani izinsuku ezingu-90 ngemva kokuyeka.
Lokhu kubaluleke kakhulu ngoba lo muthi ungabangela umonakalo omkhulu enganeni engakazalwa. Ngakho-ke khuluma nodokotela wakho ngalokhu ukuze uthole ulwazi olwengeziwe.
Yimiphi imiphumela emibi engaba khona?
Njengayo yonke imithi, i-Ganciclovir ingabangela eminye imiphumela emibi, yize kungebona bonke abantu abayitholayo. Ithebula elingezansi lichaza ngokucacile le miphumela emibi nokuthi yini okufanele uyenze uma ivela.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Uma unalezi zimpawu, tshela udokotela wakho ngokushesha. | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula. |
| Izinguquko zombono | Umbono ofiphele noma ezinye izinguquko. |
| Umkhuhlane noma izimpawu zokutheleleka | Umkhuhlane, ukubanda, umphimbo obuhlungu, izilonda zomlomo. |
| Ukopha okungavamile | Ukopha noma ukuphuka kwesikhumba okungavamile. |
| Izinkinga zomchamo | Ubunzima bokuchama noma ushintsho enanini lomchamo owukhiqizayo. |
| Ukukhathala okungavamile | Ukuzizwa ukhathele kakhulu noma ubuthakathaka. |
| Izimpawu ze-neurological | Isiyezi, ukungazweli ezithweni zomzimba, ubuhlungu. |
| Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Isisu esibuhlungu | Ubuhlungu besisu, isicanucanu, nokuhlanza. |
| Isifiso sokudla | Ukuncipha kwesifiso sokudla. |
Umlayezo Wokuya Nawe Ekhaya
- I-Ganciclovir iwumuthi onamandla onikezwa ngemithambo esibhedlela wezifo ezingathi sína ezibangelwa amagciwane njenge-CMV.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyiphuzayo.
- Qiniseka ukuthi udokotela wakho unikeza ukuhlolwa kwegazi lakho kanye nezinye izivivinyo ngesikhathi.
- Kubaluleke kakhulu ukugwema ukukhulelwa noma ukuba nguyise wabantwana ngesikhathi sokwelashwa futhi isikhathi esithile udokotela wakho ekutshela ukuthi wenze kanjalo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nomkhuhlane, ukopha okungavamile, noma ubunzima bokuphefumula, yazisa udokotela wakho ngokushesha.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Isetshenziselwani i-Bismuth Subsalicylate / Pepto-Bismol liquid/tablets?
Lona umuthi ophumelela kakhulu futhi odumile emhlabeni wePink Medicine wokuqeda ngokushesha 'i-Dyspepsia/Indigestion', isilungulela, isicanucanu, futhi ikakhulukazi 'i-Traveler's Diarrhea' ebangelwa ubuthi bokudla/amanzi! Kuyasiza ngisho nokubhubhisa amagciwane (isib. i-H. pylori) ahlotshaniswa nobuhlungu besisu.
💬 Ungayekisa kanjani i-acid reflux/ukuhlanza kanye nesifo sohudo ngokushesha ngaloluju olupinki (i-Bismuth)?
Uma ingena emzimbeni, iphuka ibe izingxenye ezimbili (i-Bismuth + i-Salicylic acid). I-Bismuth yakha ungqimba ngaphakathi kwesisu futhi ivimbele isisu ukuba sonakaliswe yi-asidi. Iphinde ibulale amagciwane/amagciwane esiswini (i-Antimicrobial). Enye ingxenye (i-Salicylate) ivimba ngokuphelele ukuvuvukala/ukuvuvukala emathunjini (i-Anti-inflammatory/Prostaglandin inhibitor) futhi ivimbele ukugeleza koketshezi.
💬 Kungani lokhu kwenza isihlalo sibe mnyama? Kungani uthi singanikwa izingane ezincane?
Into eyingozi kakhulu ukuthi njengoba yenziwe nge-Aspirin/Salicylates, uma lokhu kunikezwa 'izingane ezincane kanye nentsha' ezinomkhuhlane wegciwane (isib. i-chickenpox, i-dengue, umkhuhlane), kungabangela isimo esibi kakhulu (i-Reye's Syndrome) lapho ubuchopho nesibindi kungabola khona ngo-100% bese kufa!! Futhi, le-colloidal Bismuth ihlangana nesulfure emathunjini (i-Bismuth sulfide), futhi indle yakho nolimi lwakho kuzophenduka 'indle emnyama/ulimi' njengamalahle izinsuku ezingu-2-3 (lokhu kuyimpawu evamile).
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